Let you doctor know about any non-medical or family remedies you’ve been using — such as going to a chiropractor or an acupuncturist, or if you’ve been taking megadoses of vitamins.

Tell the truth about sexual practices or problems. Even if you feel shy about it, be sure to mention them — your doctor may need the information.

Don’t be ashamed to describe incontinence or impotence.Remember to bring up any special stress you may be under, such as the recent death of a loved one or having to work a double shift. Mention the good news, too — such as getting married or passing an important exam.

UNDERRATED: William Shatner, Priceline.com “My paycheck is big — really big.” When then-unknown Priceline.com asked Shatner to be its celebrity spokesperson in 1998, the actor/writer/singer eschewed his usual cash endorsement fee in exchange for 100,000 shares of pre-IPO Priceline stock. That turned out to be a canny move worthy of Captain James T. Kirk: Recently, Shatner’s take was worth around $7 million.

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How stiff? First, you must hold, or have held, a senior marketing, sales, or general management title of VP or higher. Second, you must make, or have made, at least $150,000 in base salary, bonuses and commissions not included. Third, you must be able to demonstrate expertise in some aspect of sales, marketing, or communications. Finally, you must pay an annual $150 membership fee. New members also pay an additional one-time application fee of $150.

Most of the activity happens at frequent regional meetings where local-chapter members network, swap job search leads, and share industry gossip. Local meetings are held in Boston; Bryn Mawr, Pa.; Chicago; Dallas; East Hanover, N.J.; Miami; New York City; Norwalk, Conn.; San Francisco; Southern California (Glendale and Irvine); and Washington, D.C. All groups meet at least once a month; some meet every other week.

MENG also sponsors several e-mail discussion groups, or Listservs. Lists exist for the group’s 11 regional chapters, special interest groups, and job seekers.

Other benefits include a group membership to Hoover’s Online, a database of information about some 12 million companies, as well as access to a job board and a searchable member directory.

A healthy thyroid gland needs enough iodine to be able to makes its hormones. In some parts of the world, especially in Africa, China and some areas of southern Europe near the Mediterranean Sea, the amount of iodine in the diet is very low. This can make it difficult for the thyroid gland to function properly. Often the gland will enlarge and form a goiter as it tries to pull in all the iodine it can.

In the United States and most other parts of North America, enough iodine is present in the diet to allow the thyroid to work very efficiently. This is because iodine is added to salt and some foods because of its nutritional importance. Many multivitamin tablets also contain beneficial amounts of iodine.

As in the case of many nutritional elements, too much of a good thing can cause problems. In this case, too much iodine can make it difficult for the thyroid to function properly. This is especially true if the thyroid is already struggling under an immune system attack. The extra iodine may actually make a hyperthyroid condition, such as Graves’ disease, worse and cause T4 and T3 levels in the blood to rise even higher. In other situations, such as Hashimoto?s thyroiditis, where the thyroid has been damaged by the immune system, excessive amounts of iodine can drive the thyroid into an underactive state.

One needs to be very careful when using nutritional supplements, such as seaweed or kelp, which contain large amounts of iodine. In general, such supplements are not needed in regions where iodine intake is already sufficient. In that setting, such supplements often do more harm than good.

Some practitioners of alternative medicine use various types of “immunotherapy” to treat immune system problems. In the case of thyroid diseases, there is no evidence that these therapies are effective. As with excessive iodine, immunotherapy could conceivably make a thyroid condition worse.

Working With Your Doctor
You and your doctor should work as a team when dealing with a thyroid problem. The initial stages of treatment may require relatively frequent doctor visits to discuss options and adjust medications. It is important to keep you doctor informed about how you are feeling and whether the treatments have any side effects. This is particularly important for elderly patients who may have a heart conditions or be more likely to develop problems during therapy.

Many primary care physicians do a good job of caring for thyroid patients. However, if your questions are not being answered to your satisfaction or you feel as though you are not making progress with your therapy, then ask for a second opinion from an endocrinologist. An endocrinologist is a physician who specializes in treating thyroid problems and other hormonal conditions. A referral may be important if you have a thyroid nodule that requires a biopsy. Referrals to an endocrinologist and an eye specialist, or ophthalmologist, are also important if you have Graves’ eye disease.

Treatment Outcome
Once a thyroid condition has been properly treated, you can usually resume a normal life without undue concern for your thyroid gland. Continuing daily thyroid supplements for an underactive thyroid, along with yearly checkups and an occasional blood test from your doctor, is usually all that is needed.

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For patients who have been hypothyroid for several months or years, most doctors will suggest starting with a relatively low dose of the T4, or thyroxine, supplement (0.025 or 0.05 milligrams a day). The dose is then increased every three to six weeks until a full replacement dose is attained. Usually this is in the range of 0.075 to 0.15 milligrams daily. This strategy allows the patient’s body time to adapt to a normal metabolic rate. However, after radioactive iodine treatment or surgery, T4 supplements can be started at near the full replacement level since the individual has not been hypothyroid for very long.

Individuals should try to take the T4 supplement every day as prescribed. However, T4 stays in the blood and tissues for several days before it is broken down. This means there is little change in the hormone?s blood levels if you miss a single dose. T4 supplements are best taken on an empty stomach. Iron supplements, some antacids and a medication called sucralfate are known to interfere with T4 absorption in the intestines. One should avoid taking thyroid supplements with these agents.

Hyperthyroidism — Medications online used to treat hyperthyroidism are methimazole (Tapazole) and propylthiouracil, or PTU. Many thyroid specialists favor using methimazole because it can be given once or twice a day and fewer pills are needed. PTU is usually taken three times a day. In addition, PTU has a somewhat bitter taste that many patients find unpleasant.

Unlike thyroid supplements, which are naturally occurring chemicals, methimazole and PTU are drugs and can occasionally cause side effects. The most common side effects are rash and itching. When these are severe, the medication may need to be stopped. Less common side effects include liver damage that can cause jaundice (yellowing of the eyes), joint aches and decreased immune system function. These conditions can have very serious side effects, but they resolve soon after the medications are stopped. Patients are informed that they should stop the methimazole or PTU, and call their doctor if they notice severe fatigue, jaundice, joint aches, fever, or sore mouth or throat.

Hypothyroidism typically slows the metabolic rate and causes weight gain due to an increase in fat stores and fluid retention. Blood cholesterol levels also become elevated.

In hyperthyroidism, individuals usually lose weight. Fat stores are reduced in spite of an increased appetite and a high caloric intake. In fact, one aspect of hyperthyroidism many individuals like is the ability to eat just about anything they want and still lose weight. However, this weight loss is not healthy because muscles and other organs lose considerable amounts of protein. As a result muscle weakness, shortness of breath and fatigue are common with this condition.

Diet becomes very important as patients begin to treat and recover from their underactive or overactive thyroid condition. As the person’s metabolism returns to healthier levels, it is important that they consume the correct combination of nutrients and vitamins. A low-fat diet without excessive calories will allow the formerly hypothyroid person to loose weight. Similarly, a diet rich in fruits, vegetables and lean meats will allow the formerly hyperthyroid individual to replenish their protein stores without gaining excessive weight and fat tissue. Often, however, patients recovering from hyperthyroidism tend to gain more weight than they would like. Part of this is probably due to the increased appetite that accompanies hyperthyroidism, which may be slow to diminish with treatment.

A careful exercise program is essential for recovery. Severe muscle weakness may occur and exercise tolerance may be impaired in both hypo- and hyperthyroidism. Therefore, exercise is important not only for controlling weight, but also for re-establishing muscle tone and fitness. In general, intense aerobic exercise should be attempted only after thyroid hormone levels have returned to normal. This is especially true for hyperthyroid individuals whose cardiovascular system is already stressed from high hormone levels. However, walking and modest weight-bearing exercise can begin when treatment starts.

Important lifestyle changes to strongly consider include taking calcium supplements and not smoking. Hyperthyroidism causes the bones to lose calcium. Taking 1,000 to 1,500 milligrams of calcium a day, along with a multivitamin tablet that contains vitamin D will help restore your bones as your thyroid hormone levels lower. Cigarette smoking has clearly been shown to make the Graves’ disease eye problems worse. This should provide any patient a strong reason to stop smoking.

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A huge spider slowly works its way towards a caterpillar happily, gleefully crawling along the spider’s web. The spider doesn’t rush. It just steps over the happy creature and methodically rips it from its perch and into its powerful jaws.

Immediately after this, Shii Ann walks towards Ken standing at the end of a log (which woefully resembles the spider’s web) and I get a painful suspicion that Shii Ann is walking towards her death. The producers couldn’t have found a more appropriate Discovery Channel moment.

My instincts tell me to begin my mourning, but I’m not sure why just yet.

Shii Ann thought it would be best to tell Ken that she’s not voting with them. During their conversation, she told Ken that she was flip-flopping, that she just wasn’t sure what she was going to do. Ken said that if she turns, then she’ll for the rest of her life be considered a rat. Ken wanted her to make a decision.

“I’m staying on you and Jakes side. But I’m not staying on Penny and Erin’s side.”

Ken explained their strategy, which I thought was excellent. “Penny is already going. Just not yet. We need to get the advantage first, then we take out Penny.” To the cameras, Ken explained how Shii Ann is going to look like a snake to both tribes.

So, Shii Ann is possibly screwed if she stays with her tribe (although it actually looks better for her strategically) and she’s the outsider with Chuay Gahn, despite all the love being showered upon her.

It would appear as though Shii Ann went with her heart (get away from Penny and Erin, who have treated her like crap) instead of her head (stay in alliance Sook Jai and most likely last longer than both Penny and Erin).

It’s too bad Shii Ann is too honest. Had she simply went to Ken and said, “Hey, I’m just playing those guys. I’m telling them whatever they need to hear so that I get their trust,” she’d still be on the island. Dammit, Shii Ann.

Although some banks are becoming more aggressive in soliciting new business–especially from existing customers–the more common practice is for the facility to pursue its own financing/refinancing direction.

This may relate to a start-up or acquisition, an expansion of an existing club, a consolidation of various existing loans or simply an effort to seek better terms with one current loan.

She had previously discovered a dietary treatment to alleviate the extreme pain of an ulcerative bladder condition and felt that what you eat has a major impact on how you feel.

Spreading does not have to be part of aging, she said in “The Menopause Diet,” a guide to eating in menopause and beyond, including recipes.

Some of her suggestions for healthy eating in menopause:
Metabolism is different in each of the genders. The context for weight gain is that nature has constructed women’s bodies to withstand starvation better since they are the child bearers and nurturers. In a way that’s different from men, women store fat very efficiently for that purpose.

You cannot lose weight without exercise. You don’t have to kill yourself doing it, however. Incorporate exercise in your daily life; even three 10-minute sessions a week are helpful.

You need a mix of nutrients, including: 10 grams of saturated fat (equivalent to one tablespoon of unsalted butter) to empty the gallbladder and a diet that consists of 25 percent monounsaturated fat, 40 percent protein and 35 percent low-glycemic carbohydrates.

Several mini-meals are helpful rather than a couple of large meals. It also helps the digestive progress to start a meal with a little bit of protein.

Include soy in your diet.

Remember to enjoy yourself. Laughter has a place in watching your diet as well as in everything else you do.

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Madison Gold’s Gym owner Rob West brings in 40 percent of his revenues from multiple profit centers. An oxygen bar will be West’s newest addition to the Airheads Juice Bar. For 15 minutes and $20, a member can inhale pure oxygen from a canister after a workout. While oxygen bars are popular in New York, the Madison Gold’s Gym is the first health club to incorporate it into the fitness experience. West plans to “expand the concept of the juice bar with a holistic approach.” Of course, caution must be taken as to who may use the oxygen bar; age and medical history of a member should be considered, and fire safety is an important issue.

The Gold’s Gym in Provo, Utah, has a smoothie shop called Nectars. Adjacent to the club, Nectars is accessible from both in and outside the facility. Located three blocks from Brigham Young University, the drive-up window offers an array of jamba and zuka juice. Beverages are served in 22-ounce glasses and some are considered meal replacements. Customers can call ahead to order Pulp Friction (orange juice, strawberries, blueberries, pineapple sherbet) or Chocolate Madness (nonfat milk, chocolate syrup, malt, nonfat frozen yogurt, peanut butter), and club members receive a 10 percent discount.

A good tactic to improve beverage sales is to offer promotions. Try a shake-of-the week contest, and ask members to choose their favorites. Then sell their top picks for a while, and gradually introduce new flavors. Provide recipes so your members can make their favorite shakes at home.

Also, make it easy and inexpensive for members to purchase drinks. Prices should be between $2 and $5 for a 12- to 18-ounce drink. Provide some type of club card so members can charge beverages to their accounts. This avoids having them search for loose change and encourages impulse buys. Women’s Workout Company, Denver, Colo., uses a punch card that sells for $20. Products are sold in increments of one dollar to make it convenient for the buyer and profitable for the club (rounding off to the nearest dollar can increase profits).